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Nursing home

Good Samaritan - Holstein

Holstein, Iowa · Ida County

  • 505 West Second Street, Holstein, IA 51025 · Directions
  • (712) 368‑4304
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: Non-profit – other
  • 24 health citations in its last 3 inspection cycles (most serious: level J), $99,103 in fines. See the inspection record

Summary

Good Samaritan - Holstein is a Medicare-certified nursing home in Holstein, Iowa, with 60 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2026-04-09, with 5 health deficiencies. Medicare lists 1 fine. Ownership: non-profit – other. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
60Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Good Samaritan - Holstein?
505 West Second Street, Holstein, IA 51025, in Ida County, Iowa.
What is the phone number of Good Samaritan - Holstein?
(712) 368-4304, as listed by Medicare (CMS).
What is the Medicare star rating of Good Samaritan - Holstein?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Good Samaritan - Holstein been fined?
Medicare lists 1 fine totaling $99,103.
What did inspectors find at Good Samaritan - Holstein?
In its last three inspection cycles (December 21, 2023 to April 9, 2026), Medicare lists 24 health citations; the most serious was level J. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 5 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (December 21, 2023 to April 9, 2026), Good Samaritan - Holstein had 24 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $99,103 in total (1 fine, the latest on August 17, 2024). Nurse staffing is 3.44 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: April 9, 2026 — 5 health citations

Inspections in this cycle: April 9, 2026 (standard health inspection).

Show 5 citations (levels A to F, no actual harm)
  • F0804 Level E April 9, 2026 · corrected April 30, 2026

    “Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”

  • F0812 Level E April 9, 2026 · corrected April 30, 2026

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0550 Level D April 9, 2026 · corrected April 30, 2026

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0604 Level D April 9, 2026 · corrected April 30, 2026

    “Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”

  • F0880 Level D April 9, 2026 · corrected April 30, 2026

    “Provide and implement an infection prevention and control program.”

Previous cycle: March 20, 2025 — 7 health citations

Inspections in this cycle: March 20, 2025 (standard health inspection); June 2, 2025 (complaint investigation).

Show 7 citations (levels A to F, no actual harm)
  • F0657 Level D June 2, 2025 · from a complaint · corrected June 15, 2025

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0578 Level D March 20, 2025 · corrected April 12, 2025

    “Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”

  • F0656 Level D March 20, 2025 · corrected April 12, 2025

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0677 Level D March 20, 2025 · corrected April 12, 2025

    “Provide care and assistance to perform activities of daily living for any resident who is unable.”

  • F0689 Level D March 20, 2025 · corrected April 12, 2025

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0758 Level D March 20, 2025 · corrected April 12, 2025

    “Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”

  • F0880 Level D March 20, 2025 · corrected April 12, 2025

    “Provide and implement an infection prevention and control program.”

Earlier cycle: December 21, 2023 — 12 health citations

Inspections in this cycle: December 21, 2023 (complaint investigation); December 21, 2023 (standard health inspection); June 17, 2024 (complaint investigation); August 17, 2024 (complaint investigation).

  • F0600 Level J August 17, 2024 · from a complaint · corrected August 27, 2024

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

    immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • F0609 Level J August 17, 2024 · from a complaint · corrected August 27, 2024

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

    immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show 10 less serious citations (levels A to F)
  • F0741 Level E August 17, 2024 · from a complaint · corrected August 27, 2024

    “Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.”

  • F0755 Level E June 17, 2024 · from a complaint · corrected June 27, 2024

    “Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”

  • F0689 Level E December 21, 2023 · corrected January 18, 2024

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

  • F0726 Level E December 21, 2023 · corrected January 18, 2024

    “Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.”

  • F0801 Level E December 21, 2023 · corrected January 18, 2024

    “Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.”

  • F0580 Level D December 21, 2023 · corrected January 18, 2024

    “Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”

  • F0604 Level D December 21, 2023 · corrected January 18, 2024

    “Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”

  • F0641 Level D December 21, 2023 · from a complaint · corrected January 18, 2024

    “Ensure each resident receives an accurate assessment.”

  • F0658 Level D December 21, 2023 · corrected January 18, 2024

    “Ensure services provided by the nursing facility meet professional standards of quality.”

  • F0755 Level D December 21, 2023 · corrected January 18, 2024

    “Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (17)
  • K0324 Level F April 9, 2026 · corrected April 9, 2026

    “Provide properly protected cooking facilities.”

  • K0345 Level F April 9, 2026 · corrected April 9, 2026

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0353 Level F April 9, 2026 · plan of correction accepted (December 6, 2026)

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0355 Level F April 9, 2026 · corrected April 9, 2026

    “Properly select, install, inspect, or maintain portable fire extinguishes.”

  • K0363 Level F April 9, 2026 · corrected May 7, 2026

    “Install corridor and hallway doors that block smoke.”

  • K0372 Level F April 9, 2026 · corrected May 7, 2026

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • K0712 Level F April 9, 2026 · corrected April 30, 2026

    “Have simulated fire drills held at unexpected times.”

  • K0920 Level F April 9, 2026 · corrected April 9, 2026

    “Ensure proper usage of power strips and extension cords.”

  • K0351 Level F March 20, 2025 · corrected March 24, 2025

    “Install an approved automatic sprinkler system.”

  • K0353 Level F March 20, 2025 · corrected March 24, 2025

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0918 Level F March 20, 2025 · corrected March 24, 2025

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0321 Level F December 21, 2023 · corrected December 29, 2023

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0324 Level F December 21, 2023 · corrected December 28, 2023

    “Provide properly protected cooking facilities.”

  • K0345 Level F December 21, 2023 · corrected December 28, 2023

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0918 Level F December 21, 2023 · corrected January 28, 2024

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0353 Level D December 21, 2023 · corrected December 30, 2023

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0363 Level D December 21, 2023 · corrected December 29, 2023

    “Install corridor and hallway doors that block smoke.”

Fines and payment denials

Total fines over about the last three years: $99,103 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
August 17, 2024Fine$99,103

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeIowaNational
Registered nurse (RN) hours per resident per day1.000.740.69
Licensed practical nurse (LPN) hours per resident per day0.260.560.86
Nurse aide hours per resident per day2.192.562.35
Total nurse staff hours per resident per day3.443.863.90
Total nurse staff hours per resident per day on the weekend2.943.383.43
RN hours per resident per day on the weekend0.600.510.48
Nursing staff turnover (per year)32.6%44.1%45.3%
RN turnover (per year)0.0%42.1%42.5%
Administrators who left in the last year1.00.40.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 92 nursing homes: Good Samaritan Society.

Legal business name: The Evangelical Lutheran Good Samaritan Society.

Owners and managers Medicare lists (4)
NameRoleShareSince
SanfordDirect owner100%January 1, 2019
The Evangelical Lutheran Good Samaritan SocietyIndirect owner100%January 1, 2019
SanfordManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2019
The Evangelical Lutheran Good Samaritan SocietyManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 2019

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds60
Average residents per day53.2
Takes part inMedicare and Medicaid
OwnershipNon-profit – other
Group or chain (affiliated entity)Good Samaritan Society
Legal business nameThe Evangelical Lutheran Good Samaritan Society
First approved by Medicare/Medicaid1994-04-01
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address505 West Second Street, Holstein, IA 51025
CountyIda County
StateIowa
Phone(712) 368‑4304
CMS Certification Number165207
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13